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General NPI Number Information
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NPI Number | 1841118239
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Entity Type | Organization
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Legal Business Name | LITTLEBUG OCCUPATIONAL THERAPY, LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 60 N CENTER ST APT 4
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City | WELLSVILLE
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State | UT
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Zip | 84339-9413
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Country | US
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Telephone | 208-431-8410
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | WELLSVILLE
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State | UT
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Zip | 84339-0103
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Country | US
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Telephone | 208-431-8410
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Fax |
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Authorized Official
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Title or Position | CEO/OCCUPATIONAL THERAPIST
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Name | KYLIE GRACE ORTIZ
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Credential | MOT, OTR/L
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Telephone | 208-431-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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